I have an accountant in my pants.
I think that if you have a simple situation - W2s, interest income, mortgage interest, property taxes - you can probably feel confident doing your return yourself.
When you find yourself in a new situation (maybe AMT, capital gains, rental income, etc), and you're just not quite sure about some of the numbers... it's probably time to at least consult with an accountant. My advice would be to call around and find someone who will take the time to sit down with you and discuss your situation... not just give you a blanket answer that may or may not apply to you. Every situation is different. Set up a time to meet with them and bring all of your tax information, including your prior year return. If you've already done this year's work, bring that along and have them review it with you. You may be on the right track already, or you may be getting in over your head. In my firm, we generally don't like to take on a simple return if we know the person can get it done much cheaper without us. Don't be afraid to ask if it's really worth it for you to pay them to do the return.
As much as I like TurboTax for simple returns, I hesitate to recommend it to people who have more complex situations. I've redone several TurboTax returns for people who thought they were entering information correctly, but weren't. Either they misunderstood the questions, or didn't like the direction their tax due was going, so they changed an answer or two. They get frustrated and bring us their returns to "look over" and we'll discover a lot of basic mistakes.
I strongly suggest anyone who starts their own business take their books to an accountant for review. It's best to do it during the year, rather than during tax season when they're busiest, but that's still better than not at all. I have several clients who have simple businesses. A lot of the time they think that they (or their spouse--who doesn't have a degree in accounting) can take care of the books and they'll be in perfect order. Unfortunately, it's usually not the case. It's better to find out the right way to do things before you do them wrong for an entire year and then have to pay someone to redo the work just to clean up the books in order to prepare the return. The simplest business can turn into a nightmare by someone who thinks they know what they're doing but doesn't. I've seen it.
If you do decide to have an accountant prepare your tax return, please, please, PLEASE, make sure you look it over and understand it before you send it in or authorize them to release the eFile to the IRS. You're signing that the information is true and complete and it's your responsibility to make sure it is. If there's something you don't understand, ASK!
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